| NPI | 1801367727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 94621) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 94621) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 94621) | |
| 225C00000X Rehabilitation Counselor (Licence: CA 94621) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-08-13 |